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Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity

BACKGROUND: Provision of care for frail older adults with multiple chronic diseases (multimorbidity) poses increasing challenge for family caregivers. Our study aims to evaluate to what extent caregiving competence, social support and positive aspects of caregiving can mitigate the effect of burden...

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Autores principales: Chan, Cheuk Ying, De Roza, Jacqueline Giovanna, Ding, Gabriel Teck Yong, Koh, Hui Li, Lee, Eng Sing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9885618/
https://www.ncbi.nlm.nih.gov/pubmed/36717770
http://dx.doi.org/10.1186/s12875-023-01985-y
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author Chan, Cheuk Ying
De Roza, Jacqueline Giovanna
Ding, Gabriel Teck Yong
Koh, Hui Li
Lee, Eng Sing
author_facet Chan, Cheuk Ying
De Roza, Jacqueline Giovanna
Ding, Gabriel Teck Yong
Koh, Hui Li
Lee, Eng Sing
author_sort Chan, Cheuk Ying
collection PubMed
description BACKGROUND: Provision of care for frail older adults with multiple chronic diseases (multimorbidity) poses increasing challenge for family caregivers. Our study aims to evaluate to what extent caregiving competence, social support and positive aspects of caregiving can mitigate the effect of burden experienced by family caregivers of frail older adults with multimorbidity. METHODS: A descriptive cross-sectional study was conducted in 2 primary care clinics. Family caregivers of older adults aged 65 years and above were invited to complete interviewer-administered questionnaires. Descriptive statistics were used to describe sociodemographic and clinical data. Caregiver’s burden was measured using the Zarit Burden Interview (ZBI). Mann–Whitney U test was used to compare differences in Caregiving Competence Scale (CCS), short Positive Aspects of Caregiving (S-PAC) and modified Medical Outcome Study Social support (mMOS-SS). Multivariable logistic regression was used to analyse factors associating with caregiver burden. RESULTS: A total of 188 participants were recruited. 71.8% reported caregiver burden (ZBI score ≥ 10). Caregivers who perceived burden had significantly lower CCS, S-PAC and mMOS-SS scores than those who did not (10.0 vs 11.6; 26.8 vs 29.8; 24.8 vs 31.4, p < 0.001 respectively). Factors significantly associated with higher odds of perceived burden were presence of alternative caregivers (OR 3.3, 95% CI 1.09, 10.19, p = 0.04), use of community resources (OR 4.4, 95% CI 1.15, 16.83, p = 0.03) and time spent caregiving per week (OR 1.1, 95% CI 1.02, 1.10, p = 0.003). DISCUSSION AND CONCLUSION: This study found that caregivers had high perception of burden as demand in caregiving may increase. Anticipating caregiver burden and social support needs may be important part of managing these frail older adults.
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spelling pubmed-98856182023-01-31 Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity Chan, Cheuk Ying De Roza, Jacqueline Giovanna Ding, Gabriel Teck Yong Koh, Hui Li Lee, Eng Sing BMC Prim Care Research BACKGROUND: Provision of care for frail older adults with multiple chronic diseases (multimorbidity) poses increasing challenge for family caregivers. Our study aims to evaluate to what extent caregiving competence, social support and positive aspects of caregiving can mitigate the effect of burden experienced by family caregivers of frail older adults with multimorbidity. METHODS: A descriptive cross-sectional study was conducted in 2 primary care clinics. Family caregivers of older adults aged 65 years and above were invited to complete interviewer-administered questionnaires. Descriptive statistics were used to describe sociodemographic and clinical data. Caregiver’s burden was measured using the Zarit Burden Interview (ZBI). Mann–Whitney U test was used to compare differences in Caregiving Competence Scale (CCS), short Positive Aspects of Caregiving (S-PAC) and modified Medical Outcome Study Social support (mMOS-SS). Multivariable logistic regression was used to analyse factors associating with caregiver burden. RESULTS: A total of 188 participants were recruited. 71.8% reported caregiver burden (ZBI score ≥ 10). Caregivers who perceived burden had significantly lower CCS, S-PAC and mMOS-SS scores than those who did not (10.0 vs 11.6; 26.8 vs 29.8; 24.8 vs 31.4, p < 0.001 respectively). Factors significantly associated with higher odds of perceived burden were presence of alternative caregivers (OR 3.3, 95% CI 1.09, 10.19, p = 0.04), use of community resources (OR 4.4, 95% CI 1.15, 16.83, p = 0.03) and time spent caregiving per week (OR 1.1, 95% CI 1.02, 1.10, p = 0.003). DISCUSSION AND CONCLUSION: This study found that caregivers had high perception of burden as demand in caregiving may increase. Anticipating caregiver burden and social support needs may be important part of managing these frail older adults. BioMed Central 2023-01-30 /pmc/articles/PMC9885618/ /pubmed/36717770 http://dx.doi.org/10.1186/s12875-023-01985-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Chan, Cheuk Ying
De Roza, Jacqueline Giovanna
Ding, Gabriel Teck Yong
Koh, Hui Li
Lee, Eng Sing
Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title_full Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title_fullStr Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title_full_unstemmed Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title_short Psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
title_sort psychosocial factors and caregiver burden among primary family caregivers of frail older adults with multimorbidity
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9885618/
https://www.ncbi.nlm.nih.gov/pubmed/36717770
http://dx.doi.org/10.1186/s12875-023-01985-y
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